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RC-17-2810Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Permit NO. I C-11-17-2810 Permit Type: Residential Construction Work Classification: Alteration Permit Status: APPROVED Issue Date. 12,2212017 Expiration: 06/20/2018 Applicant 1064 NE 97 Street Miami Shores, FL 33138- 1132050170200 Block: Lot: MARIE ROBSON Owner Information Address Phone CeII MARIE ROBSON 1064 NE 97 ST MIAMI SHORES FL 33138-2556 Contractor(s) RETOS SERVICE PLUS LLC Phone (954)588-8468 CeII Phone Valuation: $ 11,825.00 Total Sq Feet: 251 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: REPLACE EXISTING KITCHEN, MA Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Yes Certificate Date: Bond Return : Occupancy: Single Family Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: Classification: Residential Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $7.20 $5.32 $3.55 $2.40 $354.75 $9.00 $9.60 $391.82 Pay Date Pay Type Invoice # RC-11-17-65757 11/28/2017 Credit Card 12/22/2017 Credit Card Amt Paid Amt Due $ 200.00 $ 191.82 $ 191.82 $ 0.00 Available Inspections: Inspection Type: Final PE Certification Window Door Attachment Framing Insulation Drywall Screw Fill Cells Columns Window and Door Buck Review Planning Review Plumbing Review Electrical Review Electrical Review Building Review Building Review Building Review Building Review Structural Review Mechanical In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining hereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting t is permit I assume responsib�ity for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required fo TRICAL, PLUMBING, M CHANIC 'OWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS constructi VIT: I certify tha ng. Futhermor oing info ation is accurate and that all work will be done in compliance with all applicable laws regulating the above-ned contractor to do the work stated. Authorized Sig <ture: Owner / Applicant / Contractor / Agent December 22, 2017 Date Building Department Copy December 22, 2017 1 Inspection Worksheet Miami Shores Village 10060 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-310128 Scheduled Inspection Date: September 05, 2018 Inspector: Naranjo, Ismael Owner: ROBSON, MARIE Job Address: 1064 NE 97 Street Miami Shores, FL 33138- Project: <NONE> Contractor: RETOS SERVICE PLUS LLC Permit Number: RC-11-17-2810 Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132050170200 Phone: (954)588-8468 Building Department Comments REPLACE EXISTING KITCHEN, MASTER BATH, GUEST BATHROOM WITH NEW FIXTURES AT SAME LOCATION. TIE INTO EXISTING SANITARY & WATER LINES. Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Intractio Passed Comments INSPECTOR COMMENTS False Inspector Comments CREATED AS REINSPECTION FOR INSP-310052. CREATED AS REINSPECTION FOR INSP-302696. cancelled by monique 8:35 am September 04, 2018 For inspections please call: (305)762.4949 Page 7 of 16 a\'` Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION LDING El ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: 40 (,1-1, kit..;- 9 '1 S+- City: Miami Shores County: Folio/Parcel#: 1 1-• 320 6- 71 - O Z U O Occupancy Type: Load: Construction Type: CPit(1*.-0.0fST-1. DPE- ? E4-eN I G 0 :::U1- ;? °2s3-• 220 RECEIVED NOV 282017e FBC 20145441 Master Permit No.ecA1,7...81 0 Sub Permit No. ❑ REVISION 0 EXTENSION ❑ RENEWAL ❑ CHANGE OF ❑ CANCELLATION El SHOP CONTRACTOR DRAWINGS Miami Dade Zip: Is the Building Historically Designated: Yes NO 1/ Flood Zone: OWNER: Name (Fee Simple Titleholder): t1Jk%- KO BS 0 ki Address: 10(et-1 NC.- sfi city: 'i 1 A'-'\ 1 S •N+o State: -r L BFE: FFE: Phone#: 1 2C3 2g (pq1 Zip: 33 II 3 `(FD Tenant/Lessee Name: Phone#: Email: 0 N( U a ---1 1 ,k T. NET CONTRACTOR: Company Name: ?if?7VS < 4,/ a(e Address: %j'/7o (.) S%_Qd W dZ-cfLf Phone#: /5 7. -seereV4 e City: s'1 ri State: - Zip: 34 62- Qualifier Name: 4`L-0B11-4 154 '5Fi?6 cp State Certification or Registration #: C'� / OUt-/ `7 Certificate of Competency #: DESIGNER: Architect/Engineer: Address: Phone#: Phone#: TD-te City: State: Zip: "1 25 / 47 �{{ Value of Work for this Permit: $ CJ aS. -I'2%k Ga - 1 � Square/Linear Footage of Work: MQs-+f 6414 I' (04 92 N Type of Work: ❑ Addition El'R Alteration ❑ New ❑epair/Replace ❑ Demolition 6Vets--04-ek Description of Work: i PI.ACZ XIS r /J 6 }- "ilk bl,4 d rye A,q-ri4 4 ‘107/2 U Ls i bA-7?fi2n o� w 1 T1 /v£ k2 -.S J Fix r v ' .4'r' &4- L 1_QG.4 t ti —r1�:`N e—x(cT/N& 5..44v1-r/.-,2il t.)k1 L iA/£ Specify color of color thru tile: y "Perrnit`Fee $ --is" CCF $ CO/CC $ Submittal Fee'a*Ca Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ � � .. TOTAL FEE NOW DUE $ 8.2. (Revised02/24/2014) t Bonding. Company's Name (if applicable) Bonding Company's Address City £ _ ' ` "' 3 State Zip Mortgage Lender's Narre'(if.applicable) Mortgage Len'de'r"s Address State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTSTO.YOUR-PROPERTY."IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the'applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at _the job site for the fir inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection w not be approved and a reinspectio. - ill be charged. Signature 0 'o . 'Signature The foregoing instrument was acknowledged before me this yyarlday of N ON/ , 20 11 , by 1 I 6ILAL�M 11 ho is per n to me or who has produced as >N.� \• f Ott ,---- � identification`and-w10 dic4•take,an oath. NOTARY. PUBLIC,4,,C7 ":".�r�y}'! Sign: Print: 1.5ea:' LN CONTRACTOR The foregoing jnstrument was acknowledged before me this day of NO ,20 :by 2_( Q o I1 , who is personally known to r e me or w o as pro ced T 1.�5(�1 '� as identification -and who did take an oath. NOTARY PUBLIC: d//�� :..1 4 ., j�• ;7pis Sig 1 ¢ QxPV68 �'L - f 4.AF1°. *y Print: _q;; � ' <. = Seal: s* `n; OZ ao: •• y�,3 NO\SS\.'�''��a 4' i ag.0P Bonded Thru Notary Public Underwriters ' MAHARAI KrGONZALEZi:''= MY COMMISSION # GG 044602 EXPIRS: November 2, 2020 ******************************��/➢*********************************** APPROVED BY 11 Plans Examiner Structural Review ** *s******************** Zoning Clerk (Revised02/24/2014) Lit I PA.A1 rmrct RICK SCO1T, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 BALBI, HiLDA MARIA RETOS SERVICE PLU.S.Vi 15970, VV. STATE-R0i00274WZ.:'..rof7---TAttA.7.5, SUNRtSE ..,4-1tF,G3a326 ISSUED: 08/01/2016 DISPLAY AS REQUIRED BY LAW SEQ # L1608010000283 -11-1411!•,..W- .; 011ie a � 115 S. Andrews Ave., Rrn. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2017 THROUGH SEPTEMBER 30, 2018 DBA:RETOS SERVICE PLUS LLC Business Name: Owner Name: HILDA MARIA BALBI Business Location: 15970 W STATE RD 84 #244 SUNRISE Business Phone: 954-588-8468 Rooms Seats Employees 3 Receipt#:GENERALS458 CONTRACTOR Business Type: Business Opened:12 / 01 / 2 011 State/County/Cert/Reg:CGC15 0 8 95 9 Exemption Code: Machines Professionals For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: RETOS SERVICE PLUS LLC 15970 W STATE RD 84 #244 SUNRISE, FL 33326 This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Receipt #52A-16-00007463 Paid 08/24/2017 27.00 2017 - 2018 3I 1 oorr TE r"' CERTIFICATE OF LIABILITY INSURANCE °A11/1n 3n 73/17 'rY' ��- ' T HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFRRMATIVELY OR NEGAT VELY AMEND. EXTEND OR ALTER THE COVERAGE BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTRUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: N the (*Mi ato Nolder is an AOOST1ONAL INSURED. the Poiicr(ias) monbe andonad. t SUBROGATIO 1 is WAIVED. subjoei the teems and condom of the policy, certain kiss may require an endorsement. A statement on this carefteaterihis not center rights to the cetbficale holder in Tire S such 4v..1t,..k......HO* PROOUCER Florida Bankers Insurance 68T4 SW 8 ST mom. FL 33144 Phone (3)5) 2664493 Fax (305) 262-0679 MARTA M ALONSO 305) 2868493- FAX Ale. Not (305) 262-0679 QI TO tFRna I AFFORMIXT COVERAGE AMC INSURED Reims Services Plus LLC 15970 West St Rd 84 Ste. 244 SUNRISE. FL 33326- INSURER A : UNITED SPECIALTY INSURANCE COMPANY I I5URER Ti : INStrtER c : EVANSTON INSURANCE COMPANY at3URER 0 : ...SURER e : INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE U$TED BELOW NAVE BEEN ISSUED TO THE TN$URET NAMED ABOVE FOR THE POLICY PER100 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER MENT WITH RESPECT TO W HE H THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE PDXES DESCRIBED HERETI4IS SUBJECT TO AU. THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CUWAS. i tgi i TYPE OF orswuuax i!=POLICY ram3Frt ">tw Ere ,; L Lavers j GENERAL ummUry , ® COMMERCIAL GENERAL UABi1TY I A :I 0 0ass DE p coma N N SI110048213325 09123/2017 06(232018 s 1.000.000.00; EAcx OccuithEmx DAMAGE TO REIM PREMISES tEa acconrinew $ 50000.00 rDce Wy one p«son) l® s 5,000.00 PERSONA. a uav INJURY s 1,000,000.00 aErIERAL AGGREGATE $ 2,000,000.00 i GEN•L AGGRE-GATE MITT APPI S PER { C eoucv ❑ P' 0 Loc PRODUCTS - COMM,PGG s 2,000.0,00.00 s AUTOMOBILE UABKIrY J A 1Y AUTO Li ALL OWNED AUTOS ❑ SCHEDULED AUTOS u HIRED AUTOS LJ NowowarED AUTOS i CONSINED SNG&E WET (Ea $ BODILY KURT (Per person) $ te0011Y INJURY (Pm sodOrl� $ PROPERTY DAMAGE (Pat oxide*L $ _ id; UMBRELLA LIAO ' crr'i a C ; J ExCEss uAR E N N 8t 171700 • ' • 0g 17 06/23/2018 $ 1.000.000.00 EACH OCCURRENCE TE s 1,000,000.00 i-- DEDUCTIBLE RETENTION $ I 1 ! WORKERS TION I AND UAMJTY Y f N i A WC STATU. OTW 7171TY UMiB EA E.L EACH ACC Oecr $ i ANY OR/ PARiNEMEXECU TYE ii p- in NM) OFRCEROAEMBER EXCLt>DE84 E.1. DISEASE. - EA EMPLOYE $ I 11!:&Fillrfl 6.10NOPERATIONSatm. E.L. muse -MCI LAW $ S 1 RtfTION OF OPERATIONS t LOCATIONS f VEIRCLES (Aaatt. ACORD eel. Adattional Regsarits atlwd da. M more apes m MOM* CGC 1508959 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Bldg. Dep. • 10050 NE 21'd Ave. Miami Shores, FI. 33138 1 SHOULD ANY OP THE ABOVE DESCRIBED POU ES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE IN MALL BE 0EUVERED ACrODIIiYPF MTH THE POUCY PROVISIONS.IR Ai/MOWED REPRESENTATIVE ACORD 25 (2009V09) QF O 1938.2009 ACORD CORPORATION. All rights reserved The ACORD nsme and logo are registered males at ACORD AC.C1RD® CERTIFICATE OF LIABILITY INSURANCE `.�. DATE(MM/DDNYYlr) 11/21/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER SUNZ Insurance Solutions, LLC. ID: (Cornerstone) c% Cornerstone Capital Group, Inc. 10 Willow Road, Building 3, Suite 151 Maple Shade, NJ 08052 CONTACT NAME: Zachary King PHONE FAX Eat): 972 885 5089 (A/C, No): E-MAIL ADDRESS: coi.requests@cornerstonepeo.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: SUNZ Insurance Company 34762 INSURED Cornerstone Capital Group, Inc. 10 Willow Road, Building 3 Suite 151 Maple Shade NJ 08052 INSURER B : INSURER C: INSURER D : INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 38937 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MM/DD/YYYY1 LIMBS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES JET PER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ AUTOMOBILEUABIUTY — _ ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA UAB EXCESS UAB O OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N/A WCPE0000036202 1/1/2017 1/1/2018 / I STATUTE I I OERTH- E.L. EACH ACCIDENT $1 ,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Coverage provided for all leased employees but not subcontractors of: RETOS SERVICE PLUS LLC Client Effective: 8/16/2017 CERTIFICATE HOLDER CANCELLATION 1185 MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Glen J Distefano ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 38937496 1 Cornerstone Capital Group PEO 362 MASTER CERT ( Jessi Crumb 1 11/21/2017 3.16.44 PM (EST) i Page 1 of 1 JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 11/28/2015 PERSON: BALBI FEIN: 272362246 BUSINESS NAME AND ADDRESS: RETOS SERVICE PLUS LLC 15970 W ST RD 84 #244 SUNRISE EXPIRATION DATE: 11/27/2017 HILDA M FL 33326 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 Marie E. Robson 1064 NE 97 St. Miami Shores, FL 33138 Monique H. Smith 1000 Quayside Terr., #1210 Miami, FL 33138 November 1st, 2017 Monique Smith has the right and power of attorney to sign for me, Marie E. Robson, regarding permit applications for my property located at: 1064 N.E. 97th St. Miami Shores, 33138. Monique Smith will have the power of attorney related to work involved, including but not exclusive to, applying for/obtaining any necessary permits needed as follows: 1) New roof permit 2) Exterior paint permit 3) New impact windows and door permit 4) New bathroom & kitchen permit Marie E. Robson Sworn & subscribed to me this 1st day of November 2017, by Marie E. Robson, who produced identification and who did take an oath. PRIYEN KHAMAR NOTARY PUBLIC REGISTRATION M 1736695 COMMONWEALTH OF VIRGINIA MY COMMISSION tXPIRES JANUARY 31. 2021 Vol (loll MEMORANDUM OF TRUST The undersigned hereby certify that they created a Revocable Living Trust. Bement is entered into by and between THOMAS E. ROBSON and MARIE E. This Trust Agr ROBSON, of the County Coun of MIAMI-DADE, State of Florida, hereinafter referred to as "Grantors", or E E. ROBSON, whose separately, "Husband" and "Wife", and THOMAS E. ROBSON and MARL residence and post of fice address is 1064 NE 97TH ST., MIAMI SHORES, FL 33138, hereinafter referred to as "Co -Trustees." Reference in this Trust to the "Trustee" shall be deemed a reference to whomever is serving as Trustee or Co -Trustees, whether original, alternate, or successor. This Trust shall be known as the: "ROBSON FAMILY REVOCABLE LIVING TRUST, dated JUL 2 1 2003 The manner in which title to Trust assets should be taken is as follows: "THOMAS E. ROBSON and MARIE E. ROBSON, as Trustees of the ROBSON FAMILY REVOCABLE LIVING TRUST, dated JUL 2 1 2003 if The initial .primary beneficiaries of this Trust shall be THOMAS E. ROBSON and MARIE E. ROBSON. 99 POWER OF CO -TRUSTEES TO ACT INDEPENDENTLY p other othprovision to the contrary, the Grantors specifically authorize either of Notwithstanding any their joint lives and while serving as Co -Trustees, to act independently of the original. Co -Trustees, during ted under this Trust Agreement, the other and have the authority to perform all powers and acts as gran Memorandum of the ROBSON FAMILY REVOCABLE LIVING TRUST 1 and shall include the right to contract for and in behalf of the Trust and to execute, negotiate, and compromise such instruments as may be necessary to carry out the purposes and intent of this Trust. ORIGINAL TRUSTEES The original Co -Trustees under this Trust Agreement shall be THOMAS E. ROBSON and MARIE E. ROBSON, to serve with all of the obligations, powers and authority contained within this Trust Agreement. SURVIVING TRUSTEE In the event of the death of THOMAS E. ROBSON, or if for any reason whatsoever he ceases to serve as Co -Trustee hereunder, the Grantors nominate and appoint MARIE E. ROBSON to serve as Trustee hereunder without the approval of any court. In the event of the death of MARIE E. ROBSON, or if for any reason whatsoever she ceases to serve as Co -Trustee hereunder, the Grantors nominate and appoint THOMAS E. ROBSON to serve as Trustee hereunder without the approval of any court. SUCCESSOR TRUSTEE In the event of the death of both original Co -Trustees, or if for any reason whatsoever both cease to serve as Trustee hereunder, the Grantors nominate and appoint CONNIE JOHNSON AND BARBARA POPOLA to serve as Co -Trustees hereunder without the approval of any court. When two or more persons are named to act jointly as Successor Trustee, the Co -Trustees serving must act by majority. This provision does not apply to the Grantors. Should any one or more of those Memorandum of the ROBSON FAMILY REVOCABLE LIVING TRUST 2 named as a Co -Trustee fail to qualify or cease to act as Successor Trustee, then the Trustee shall be the other named Co-Trustee(s). Should all of the above named persons be unable or unwilling to act as Trustee, current income beneficiaries who are twenty-one (21) or more years of age (and guardians of minor or incapacitated beneficiaries) holding a majority Trust interest shall select a Successor Trustee. POWERS OF TRUSTEE The Trustee shall have the following powers, duties and discretions in addition to those otherwise granted herein or by law, and except as elsewhere herein specifically restricted. GENERAL PROPERTY POWER The Trustee shall have all such powers and is authorized to do all such acts, take all such proceedings and exercise all such rights and privileges in the management of the Trust Estate as if the absolute owner thereof, including, without limiting the generality of the terms, the right to manage, control, develop, improve, sell, convey, exchange, partition, mortgage, assign, divide, subdivide, repair, and to change the character of any Trust property; to grant options and to sell upon deferred payments; to dedicate to public use, abandon and otherwise dispose of any Trust property, when, in the judgment of the Trustee, it is in the interests of the beneficiaries to do so; to enter into any lease as lessor or lessee for a term within or extending beyond the duration of the Trust; to grant or take an option to purchase or lease; to borrow funds, with or without Trust property as security, for such purposes as the Trustee shall deem advisable; to invest and reinvest principal and income in every kind of property, real and personal; to place Trust assets in the hands of agents selected by the Trustee in order to facilitate transactions and record keeping in connection with those assets and for safekeeping; to create restrictions, easements, and other servitudes; to compromise, arbitrate or otherwise adjust claims in favor of or against the Trust, to Memorandum of the ROBSON FAMILY REVOCABLE LIVING TRUST 3 institute, compromise and defend actions and proceedings at the expense of the Trust Estate; and to carry such insurance as the Trustee may deem advisable. The Trustee has authority to mortgage or pledge Trust property to secure any personal loan being made to the Grantor(s) in his/her/their "individual" capacity. POWER REGARDING SECURITIES The Trustee shall have, regarding securities, all the rights, powers and privileges of an owner, including the right to vote stock, give proxies, pay assessments and other sums deemed by the Trustee to be necessary for the protection of the Trust Estate; to participate in voting trusts, pooling agreements, foreclosures, reorganizations, consolidations, mergers and liquidations, and in connection therewith, to deposit securities with and transfer title to any protective or other committee under such terms as the Trustee may deem advisable; to exercise or sell stock subscription or conversion rights; to open an account with a brokerage firm of the Trustee's choosing, in the Trustee's name, in the Trustee's own behalf for the purpose of the purchasing and selling of all kinds of securities and authorizing such brokerage firm to act upon any orders, including margin orders, options, both covered and uncovered, instructions with respect to such accounts and/or the delivery of securities or money therefrom received from said Trustee; and to retain as an investment any securities or other property received through the exercise of any of the foregoing powers. The Trustee is further authorized to sign, deliver and/or receive any documents necessary to carry out the powers contained within this paragraph. Memorandum of the ROBSON FAMILY REVOCABLE LIVING TRUST 4 ARTICLE V DISPOSITION OF TRUST ESTATE AFTER DEATH OF GRANTORS Section 5.01 Section 5.02 Section 5.03 Section 5.04 Allocation and Distribution of Trust Distribution to Issue of Predeceased Beneficiaries Distribution if Beneficiary is Less than Twenty -One (21) Years Old Ultimate Distribution ARTICLE VI SUCCESSOR TRUSTEE AND TRUSTEE'S POWERS Section 6.01 Original and Surviving Trustee(s) Section 6.02 Successor Trustee(s) Section 6.03 Powers of Successor Trustee(s) Section 6.04 Resignation of the Trustee Section 6.05 Borrowing Section 6.06 Investments Section 6.07 Nominee Section 6.08 Securities Section 6.09 Real Estate Section 6.10 Tax Matters Section 6.11 Minors and Incapacitated Beneficiaries Section 6.12 Continuing or Incorporating a Business Section 6.13 Reliance on Documents Section 6.14 Income and Principal Section 6.15 Insurance Section 6.16 Distribution Section 6.17 Claims Section 6.18 Employment of Agents Section 6.19 Books of Account Section 6.20 Compensation of Trustee Section 6.21 Generation -Skipping Transfers Section 6.22 Payment of Trust Expenses Section 6.23 Commence or Defend Litigation Section 6.24 Spendthrift Provision Section 6.25 Power to Postpone Distribution Section 6.26 Early Termination of Trust Section 6.27 General Powers Section 6.28 Powers of Co -Trustees to Act Independently Section 6.29 Consolidation of Trusts Section 6.30 Distribution Election Section 6.31 Conditional Acceptance of Real Property Section 6.32 Power to Disclaim Real Property Section 6.33 Charitable Contributions SIGNATURE This is to witness that I, THOMAS E. ROBSON, and I, MARIE E. ROBSON, have read the provisions of the Memorandum of the ROBSON FAMILY REVOCABLE LIVING TRUST, dated JUL 2 1 2003 and understand the provisions therein. IN WITNESS WHEREOF, the provisions of the Trust Agreement shall bind THOMAS E. ROBSON and MARIE E. ROBSON, as Grantors; and THOMAS E. ROBSON and MARIE E. ROBSON, as Co -Trustees; Successor Trustees assuming the role of Trustee hereunder, and the beneficiaries of the Trust, as well as their successors and assigns. This Memorandum of the ROBSON FAMILY REVOCABLE LIVING TRUST is executed at MIAMI SHORES, Florida, on JUL 2 1 2003 THOMAS E. ROBSON GRANTOR MARIE E. ROBSON GRANTOR THOMAS E:BS MARIE E. ROBSON TRUSTEE TRUSTEE The undersigned declare that the foregoing instrument was executed by the Grantors and Trustees on JUL 2 1 2003 , at MIAMI SHORES, Florida. /; _jam/ yl C-/Gt_ G:�i� a `47t-L`__, WITNESS (i$Vgnature)( t T;1 ).��v� )`;- Cc WITNESS (Print Name) WITNESS (Signature) WITNESS (Print Name) Memorandum of the ROBSON FAMILY REVOCABLE LIVING TRUST 6 STATE OF FLORIDA COUNTY OF MIAMI-DADE ) ) ) SS: On JUL 2 1 2003 , before me personally appeared THOMAS E. ROBSON and MARIE E. ROBSON, husband and wife, as Grantors who are known to me or who produced as identification and who executed the foregoing instrument, and acknowledged that Grantors executed the same as Grantors' free act and deed. Notary Public STEVEN C. SCHEINFELDT My commission expires on: STATE OF FLORIDA COUNTY OF MIAMI-DADE ) ) ) SS: NOTARY SEAL OT,STEVEN C. SCHEINFELDT MY COMMISSION # CC845069 N'OrIL" EXPIRES: August 20, 2003 1.8003NOTARY FL Notary Service 8 Bonding, Inc. On JUL 2 1 2003 , before me personally appeared THOMAS E. ROBSON and MARIE E. ROBSON, as Trustees who are known to me or who produced as identification and who executed the foregoing instrument, and acknowledged that Trustees executed the same as Trustees' free act and deed. NOTARY SEAL Notary Public STEVEN C. SCHEINFELDT My commission expires: 4ASSN,STEVEN C. SCHEINFELDT . MY COMMISSION CC845069 VIP 0,olio EXPIRES: August 20.2003 1.6003NOTARY FL Notary Service & Bond% Inc Memorandum of the ROBSON FAMILY REVOCABLE LIVING TRUST .064 NE 97 St. 1st Floor 1:1;.11.• I ; I : ; ! 1 1 : ! ! • , • .1!; . . . . ; ; 1 ' • . ; ! ' 1 i • I•1 ; I • 1 • ,.I. . i• 1• I ; . . ! j • . . ; •• I ; • ; • - ; •-• - , . .. ; .. ... . : • , • .tt tit' ! . , .......... . . . ; . ; ._! . 11 • I i • ! I ,,t.." • • : I ! i t ! i_ 1 : 1 t'' ; 1 I , • ' ! I t ; I ; i _' 1 i I . . . . . . • ! i , 1 ' • ; • ! ij • 1 I ' I I 1 ; • ; I , f I ! , . _..._ . ! i I I I i 1 • I 1 ' I ! : ! , ! I l ! ! 1 :i 1 i ! [ • • 1 1 ; " 1 . i 1 ' ; : • • i ' : i 1 I ; , • 1 : : t • i I ! " I I , . 1 1 I . I : : 1 : i 1 I : ; : , • I ' i , , ; ! ' i 1 • ; , • I t I ' 1 ! . • , ; , • • i ••••••- , • • ' • ; '' ••• ••: •••••---;-. ;• —, I . . The Robson Residence Kitchen & Bathroom Renovation _1064_NE_97_St. Miami Shores, FL 33138 Folio: 11-3205-017-0200 Sub -Division: MIAMI SHORES SEC 8 REV IN PB 43-51 Project Manager: Monique Smith, cell # 786-253-2869 ; • T • ' I KittotteN I : • I I I ! • • j . .. .1- 11 111 i IT! LI j I 1 I • • Study 32328 8.:1 11 1 • Living Room 799.67 eq It NI Closet 48.83 sq ft •Len er Bedroom osift • • • • • • • ... • • • -, --,• • • • N •• ••• •• I • •• ijH !srr.X. ZONI ; ! - • - ! --. i • .;;11 i ; "‘ ; ! ; i ! : ". - it ',---1 - •--;.: , :--T • :: --i - .---;-- 'RE IVEP • • , . E ; 1 ! • ! ! ,i ; ; f - t.; • ; • . • I 11. 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''1' ' • ' "! •••.• 0• •• ! .11t •11 . fi•..-..-..t•..'1.' , C• A..'.•I .:!. 1.'.- ;:•.' .".. • • 1 i :•, • , ,•. • • iEHAN L •••: '.J I • !•! •. , , ; -•'1'1, ;-- ---t1t1: ,1!, ",-,•••14.-ii-'• 1 ; , • 1 •• • • • • • • • •1 • • iBliDG . . . -1 • • • • .; • • •• • • • • : • • • • • • • • • t S , • • 1 1 • I • • • • • •• 1 ! • : . • • • • , • • • • • • : SUBJECT TO 0Mra..1,41\;,;;;;,Vtlil-j-1.:,`) siATE ANP COUNTY MA -WAND RE The Robson Residence Kitchen & Bathroom Renovation 1064 NE 97 St. Miami Shores, FL 33138 Folio: 11-3205-017-0200 Sub -Division: MIAMI SHORES SEC 8 REV IN PB 43-51 Project Manager: Monique Smith, cell # 786-253-2869 • • • • • • •• • • • • • • Bathrooms: •••••• :•. •• 1) Replace both existing bathrooms' sanitaries, fixtures, wall & floor tile Iftitb flew at §pme • • • • • location. • • • • • • • 2) Tie into existing sanitary & water lines. • •• •• •• 3) Plumbing & Electrical permits, applied for separately. •• 4) No Mechanical work/permit requested (manual ventilation provided via•exiSting battrgom window) • • • • Kitchen: 1) Replace existing kitchen cabinets, countertop, fixtures & appliances with new at same location. 2) Tie into existing water lines. 3) Plumbing & Electrical permits, applied for separately. 4) No Mechanical work/permit requested (manual ventilation provided via existing two kitchen windows) Smoke Alarms Electrical permit, applied for separately, will include smoke alarms as required by FBC, Section 403.6. 11/27/2017 ADD SMOKE/CARBON MONOXIDE DETECTORS. ANY AND ALL CLOTH AND RUBBER INSULATED CONDUCTORS TO BE REPLACED. ie ,Robso Residence Kitchen & tiatnroom i- enovauoi )64 NE 97 St: liami Shores; FL 33138 olio: 11-3205-017-0200 ub-Division: MIAMI SHORES SEC 8 REV IN PB 43-51 roject Manager: Monique Smith, cell # 786-253-2869 r )2I +' of eivr-6 0'I To i t e f •t&s d1 he vt; n1,6,116A 'rV1 tkn •i`• h wv 4 IS i 1 +v b ±in ; d e o �� ••, 9,7F--.� • �810J e,e1 "+ ei - C; "-D (e.-(- .. 1 Cax61.rl 4 Ike) wo•61s J -C1ob +0-ee,i (IA +,CtootS 94/ 101 C o A4 ctelcx, ovAi4 r 6Cu 6.3 n - R 307, ttuOke.4) B6:* -f 41c hove r. looe S u Cruvi/ w1,i,l is S hOwe/^ t,,)i 11 b( i( ()IDA- Gl b 4 o rbe,r,-t .k "}-e:. G --0 .90 s h o o'er Vt . • ••• • •••• •• • • • • —1• • ••: i FT L1J 1••«• • •• • •• ••• r •• • • .�. • • BATHROOM RECEPTACLE ON 20 AMP CKT AND G.F.I PROTECTED • • d o$ ?� QA'ni" 0 0 L co 1r (-\ -1-1, lie sictq,S 'of tk. co_t i,�• rce Z� �0leo-r ,cam I '1 y In evrltpl' an ce si+h RG 3 0 7. i f pee 307.2, S un--0 Vv cc t o -hub Are,i I et, r+ la.vatol -b have 21 c-,i ear ance Told will h&ae 1%ir;v wM I' `' +0 both ricles -6-0 AI -b11ei- ace, { The Robson Residence Kitchen & Bathroom Renovation 97 • • • • • •••. • • • • • • •••. .• • • • • • • • • • • .• •. • • • • • . •• •• •• • • • • • • • • • • • • • •• • r--i LcoJ • • • • • •• •• • • • • .•• • • • 1064 NE 97 St. Miami Shores, FL 33138 Folio: 11-3205-017-0200 Sub -Division: MIAMI SHORES SEC 8 REV IN PB 43-51 —1 Project Manager: Monique Smith, cell # 786-253-2869 • The Robson Residence Kitchen & Bathroom Renovation 1064 NE 97 St. Miami Shores, FL 33138 Folio: 11-3205-017-0200 Sub -Division: MIAMI SHORES SEC 8 REV IN PB 43-51 Project Manager: Monique Smith, cell # 786-253-2869 SS L- J KirCtt-Er/ IN POINT ALONG 2` EET-FFj0M-6-F PUT D/W REI i FIXEI/AP_P etizek ? k-4 OUNTI1.1 R TO B1 MORE HAN -?RO GT ,EPTAC E UND.R SIN CES_0`iDI ,CATED KTS. gyp_ i 2 ? •• •• • • • •• • • • • • • •_- ••• • ••• ••-• • • • • • •• • • • • •• •••• • •• •••••• • ▪ • • • • • •• •• • • • •-•• [�;1 L� ••• •.•- • . • [ . • •• •• • r. • • • • • •• • • • •• •• • • 12/12/2017 CHAPTER 3 BUILDING PLANNING 12014 Florida Residential Code I ICC publicACCESS SECTION R307 TOILET, BATH AND SHOWER SPACES R307.1 Space required. Fixtures shall be spaced in accordance with Figure R307.1, and in accordance with the requirements of Section P2705.1. 15'IN 1 ViA, L • 1 21' IN,. CLEARANCE For SI: 1 inch = 25.4 mm. tWAI I. 2 1' P. CLEAR E 37IN. MIN. YvA��� i 24 IN CLEARANCE IN =ROr.T O OPENING S HOLE a WATER CLOSET\ OF B DETi 151N. N\ r 21 IN. CLEARANCE ir TUB WATER CLOSETS j FIGURE R307.1 MINIMUM FIXTURE CLEARANCES WALL • • • • • •• • • TUB.••••. •••• • • •• •• • • •• • • •• • \W.ALL • • • • •Y • • • • • • • • • • • • • •• • • • • • •• • • • • • • •• • • • • • • • •• • • • • R307.2 Bathtub and shower spaces. Bathtub and shower floors and walls above bathtubs with installed shower heads and in shower compartments shall be finished with a nonabsorbent surface. Such wall surfaces shall extend to a height of not less than 6 feet (1829 mm) above the floor. https://codes.iccsafe.org/public/document/FLRC2014/chapter-3-building-planning 1/1 • • •• • • • • •• • •• • • • • • • • • • •• • • • • •• • • • • • • • • • • • The Robson Residence Kitchen & Bathroom Renovation 1064 NE 97 St. Miami Shores, FL 33138 Folio: 11-3205-017-0200 Sub -Division: MIAMI SHORES SEC 8 REV IN PB 43-51 Project Manager: Monique Smith, cell # 786-253-2869 • •• • • • • • • EXACT LOCM10N. SEE SHOWER DETAIL •• •• • • • • •• • •• •• •• • • • • TUB 114IE GOOSED • • • • (PLM/BING IXbRE ()HANGS° _•� • FOR NEW ON5 5ND SELECTE4 • • • • • BY OWNER) AND INSTALL AT • THE EXITING F.F.E. •• •• PLUMIN SYS IS TO • • • RE IINN T! NTRE AN PL NGT g CAIE ANY PLUM NC PIP• • • 2'-8" PARTIAL PLUMBING PLAN TO BE CONNECTED TO EXISTING WATER PLUMBIN CONTRACTOR SHALL BE VERI EXACT LOCATION. LEGEND I 5 EXISTING DRYWALL PARTITION ® B' NEW DRYWALL PARTITION(W/ PLUMBING SYSTEM) (W/ PLUMBING SYSTEM) PLUMBING FIXTURE CONNECTION SCHEDULE MARK DESCRIPTION DRAIN WATER REMARKS COLD HOT P-1 WATER CLOSET -TANK 3" 1/2" N/A P-2 LAVATORY -COUNTERTOP 1-1/2" 1/2" 1/2' P-7 TUB & SHOWER 2" 1/2" 1/2" NOTE: PROVIDE ANTI SCALD VALVE 0 EACH SHOWER AND MA NOTE: ALL TRAOS SHALL BE CONSISTENT W/FIXIURE WRIT SIZE. EXISTING CONDITION NOTE THESE DRAWINGS ARE BASED ON EXISTING EXTERIOR CONDITIONS TO THIS AREA BY OTHERS. THE CONTRACTOR SHALL VERIFY AT FIELD THE EXISTING CONDITIONS AND NOTIFY 10 THE ARCHITECT OR ENGINEER OF RECORD ANY DISCREPANCIES PRIOR COMMENCE OF WORKS. WATER PIPING SIZE-2 c 1/2"• CW/HW 0 1/2"0 CW QS 3/4"0 CW,1/2"0 HW ® 3/4"0 CW/HW ® 1/2"0 HW ® 3/4"0 CWS ® 1"0 CWS ® 3/4"0 HWS 0 1 1/4"0 CWS SHOWER COMPARTMENT MUST BE FINISHED IN SMOOTH IMPERVIOUS MATERIALS TO MINIMUM HEIGHT OF 72" 1/2" MOISTURE RESIST. SHOWER GLASS IN SHOWER TO DUROCK 7;.4BE CAT, II SAFETY GLAZING 4" METAL STUD PARTITION CERAMIC TILE r FLOOR PLANS)2aS FLOOR PER FBC )BrTf(REFER TO REFER TO FLOOR PLAN Ly 1/2" GYPSUM DRYWALL RECESS SLAB 4" FOR SHOWER 40 MILLS SARLOY VINYL ENCLOSURE WATER PROOFING, lellrinill 4" CERAMIC TILE EXTEND VINYL 10",TOP OF CONCRETE SLAB MIN. UP STUD WALL oELEv. o —o LINER 1/4" TO 12 MORTAR - i�y-�1 i SHOWER DETAIL DRAIN VAPOR BARRIER ( IMN)� Tr 8" CONT. MONOLITHIC FTG. W/ 1 #5 CONT. -6" X 6" 10/10 W.W.M. D0UBLE MESH X 2-6" INTO THE SLAB -\